| NPI | 1487744892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL me99929) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL me99929) | 
| Enumeration Date | 2006-10-14 | 
| Last Update Date | 2025-01-09 |